scholarly journals Application of Fibrin Glue in the Treatment of Rectal Fistula

2019 ◽  
Vol 29 (1) ◽  
pp. 31-35
Author(s):  
Sergey A. Frolov ◽  
Alexandr M. Kuzminov ◽  
Dmitry V. Vyshegorodtsev ◽  
Vyacheslav Yu. Korolik ◽  
Sharof T. Minbaev ◽  
...  
Keyword(s):  
Elderly People ◽  
Fibrin Glue ◽  
New Technologies ◽  
Population Group ◽  
Disease Recurrence ◽  
Rectal Fistula ◽  
Aged Population ◽  
Fistula Recurrence ◽  
Invasive Techniques ◽  
Postoperative Incontinence

Aim:to summarize the literature data on the treatment of rectal fistula using fibrin glue.Key findings:The prevalence of rectal fistula is about 9 cases per 100,000 population. Patients with rectal fistulas are frequently represented by the able-bodied middle-aged population group. The disease is extremely rarely observed in children and elderly people. Thus, this problem has a socially significant character. Fistula elimination is possible only by surgery, which is accompanied by the risk of fistula recurrence and the development of postoperative incontinence. In this regard, low-invasive techniques for the treatment of rectal fistulas, such as the use of fibrin glue, are being actively investigated.Conclusion:The use of fibrin glue as a sphincter-preserving technique eliminates the development of postoperative anal failure, while new technologies and materials aim to reduce the risk of the disease recurrence.

scholarly journals ADVANTAGES OF USING MODIFIED LIFT TECHNIQUE FOR SURGICAL CORRECTION OF THE RIVER FURS

2019 ◽  
pp. 95-97
Author(s):  
T. M. Firsik
Keyword(s):  
Surgical Treatment ◽  
Anal Sphincter ◽  
Disease Recurrence ◽  
Surgical Correction ◽  
Minimally Invasive Techniques ◽  
Rectal Fistula ◽  
Standard Procedures ◽  
Sphincter Insufficiency ◽  
Invasive Techniques ◽  
Standard Techniques

Summary. The aim of the study was to compare and analyze the results of surgical treatment of patients with rectal fistulas by performing standard techniques and modified fistula ligation techniques. Materials and methods: a retrospective study 55 patients who underwent surgical treatment for transfusion of the rectum between January 2017 and April 2019.  The patients were divided into two groups: 29 patients (52.7%) were operated by standard procedures, 26 patients (47.3%) underwent surgery using a modified fistula ligation technique. Results. The use of standard techniques for surgical treatment of rectal fistula provided 86.2% satisfactory results.  However, in addition to disease recurrence, 6.8% of the development of anal sphincter insufficiency was recorded.  Using modified LIFT technology, 84.6% of successful operations were achieved.  There were no cases of sphincter apparatus failure. Conclusions. Performing minimally invasive techniques for surgical correction of rectal fistula significantly reduces the risk of anal sphincter insufficiency in the postoperative period.

Ambient Assisted Living Systems: The Scope of Research and Development

2017 ◽  
Vol 3 (2) ◽  
pp. 21
Author(s):  
Ashish D Patel ◽  
Jigarkumar H. Shah
Keyword(s):  
Assisted Living ◽  
Independent Living ◽  
Intelligent Systems ◽  
New Technologies ◽  
Ambient Assisted Living ◽  
Smart Devices ◽  
Economic Changes ◽  
Aged Population ◽  
The People ◽  
Living Person

The aged population of the world is increasing by a large factor due to the availability of medical and other facilities. As the number grows rapidly, requirements of this segment of age (65+) are increasing rapidly as well as the percentage of aged persons living alone is also increasing with the same rate due to the inevitable socio-economic changes. This situation demands the solution of many problems like loneliness, chronic conditions, social interaction, transportation, day-to-day life and many more for independent living person. A large part of aged population may not be able to interact directly with new technologies. This sought some serious development towards the use of intelligent systems i.e. smart devices which helps the people with their inability to use the available as well future solutions. Ambient Assisted Living (AAL) is the answer to these problems. In this paper, issues related to AAL systems are studied. Study of challenges and limitations of this comparatively new field will help the designers to remove the barriers of AAL systems.

Abstract 512: Drugs in the Elderly: Threats and Opportunities

Hypertension ◽  
2013 ◽  
Vol 62 (suppl_1) ◽  
Author(s):  
Martin Wehling
Keyword(s):  
Elderly People ◽  
Antihypertensive Drugs ◽  
Rank Order ◽  
Renin Angiotensin System ◽  
The Elderly ◽  
The United States ◽  
Channel Blockers ◽  
Aged Population ◽  
Type D ◽  
Long Acting

Taking 10 and more drugs is unpredictable and may cause more harm than good, given that up to 100,000 medication-related deaths in the United States annually. An early attempt to improve drug safety in the aged population was the establishment of criteria for drugs to avoid by Beers in 1997. The evidence for the effectiveness of the Beers list is not compelling.. There should also be a positive labelling of drugs that are indispensable in elderly people as data on morbidity, mortality, and safety are available or emerging for this particular group. There is increasing clinical evidence for beneficial action of, for example, antihypertensive drugs (e.g., Hypertension in the Very Elderly Trial) in elderly people. Drugs should be labelled taking into consideration their usefulness for elderly people (Table 1) This classification would be an extension of the Beers approach into the positive listing of valuable drugs. This seems necessary as overtreatment and undertreatment are both typical problems of the aged population. Undertreatment, for example, relates to the poor control of arterial hypertension elderly people and may leave more than half of the patients un- or undertreated. The FORTA classification for antihypertensive drugs as an example is as follows: diuretics B, betablockers B, renin-angiotensin-system blockers A, long acting dihydropyridine calcium channel blockers (CCB) A, CCBs, verapamil type D, spironolactone C, alphablockers C, clonidine D, minoxidil D. The typical use of the scheme would address general practitioners struggling with polypharmacy. They would then synthesize the recommendations into a rank order of drugs that they could use to cut the list short.

Spine

2020 ◽  
pp. 103-120
Author(s):  
Allan D. Levi
Keyword(s):  
New Technologies ◽  
Thoracolumbar Spine ◽  
Spinal Instrumentation ◽  
Pedicle Screws ◽  
Metastatic Lesion ◽  
Oral Exam ◽  
Spine Deformity ◽  
Thoracic Disc ◽  
Cervical Plating ◽  
Invasive Techniques

Spine cases form a significant component of the neurosurgery Oral Board Examinations. A familiarity with the common cases is essential in preparing for the boards. Spine includes cases that span from the skull base to the sacrum. Another component of spine includes an understanding of spine stability as well as the use of spinal instrumentation such as cervical plating and pedicle screws. These techniques are now a standard part of the neurosurgical armamentarium. Current new technologies or approaches to the spine whether minimally invasive techniques or surgery for deformity are actively used and will continue to form a larger part of the oral exam. The following cases are discussed in this chapter: bilateral cervical facet dislocation with spinal cord injury, central calcified thoracic disc herniation, L5 congenital spondylolysis with spondylolisthesis, metastatic lesion, and a thoracolumbar spine deformity.

scholarly journals New technologies in oral radiology as a diagnostic aid for monostotic fibrous dysplasia: a review

2022 ◽  
Vol 9 (4) ◽  
pp. e089
Author(s):  
Ximena Torrico-Acha ◽  
Jhoana Mercedes Llaguno-Rubio
Keyword(s):  
Fibrous Dysplasia ◽  
Soft Tissues ◽  
New Technologies ◽  
Conventional Radiography ◽  
Cone Beam ◽  
Oral Radiology ◽  
Imaging Characteristics ◽  
Bone Scans ◽  
Invasive Techniques ◽  
Dental Professionals

Monostotic fibrous dysplasia is a benign asymptomatic lesion that affects only one bone, which is replaced by amorphous connective tissue. Clinically there is an increase in the volume of the affected area, which is observed by imaging as a radiopaque area with diffuse non-corticalized limits capable of expanding to neighboring structures, and it is histologically evidenced as “resembling Chinese characters”. The lesion is seen as a radiopaque image with diffuse borders in conventional or digital radiography, while cone beam computed tomography identifies the exact location and extension of an isodense, mixed or hyperdense image of non-corticalized edges. Magnetic resonance imaging is also used when the lesion involves soft tissues or nerves, and bone scintigraphy is performed in order to systemically observe bone quality. The objective of this article was to describe the new technologies in oral radiology for the diagnosis of monostotic fibrous dysplasia and the importance of the current imaging methods in achieving an adequate diagnosis. These techniques range from conventional radiography to bone scans, which provide images of higher quality, clarity and better precision with less invasive techniques to the patient. This review of the literature helps to expand the knowledge of dental professionals in relation to the clinical and imaging characteristics of monostotic fibrous dysplasia.

scholarly journals EVALUATION AND CHARACTERISTICS OF POPULATION AGEING

2018 ◽  
Vol 3 (4) ◽  
pp. 68-72
Author(s):  
M L Sirotko
Keyword(s):  
Elderly People ◽  
Full Range ◽  
Population Group ◽  
The Elderly ◽  
Healthcare Services ◽  
Population Ageing ◽  
Social Adaptation ◽  
Just In Time ◽  
Modern Approach ◽  
International Ranking

Objectives - to make an assessment of the actual situation in the population ageing process and to define its tendency. Material and methods. The classification characteristics are defined based on the calculation on the elderly people ratio to the total number of people. The structure of the international ranking is presented. The modern approach such as a prospective age was the basis of the ageing evaluation. The point of analysis was the ageing tendency in the Samara region population in the 20th century, observing its range and structure marks, the degree according to the ageing index. Results. The prognostic ageing values of the 2010 year for the period till 2031were corrected. The escalation of the eldest population group in the nearest future was decisively proved. The further interdisciplinary problem management was stated to be focused on, as the elderly people are crucially dependent on the just-in-time and full-range healthcare services supported by the social adaptation.

scholarly journals Uses and gratifications of computers in South African elderly people

Comunicar ◽  
2015 ◽  
Vol 23 (45) ◽  
pp. 09-18 ◽  
Author(s):  
Tanja Bosch ◽  
Bronwyn Currin
Keyword(s):  
South African ◽  
Elderly People ◽  
Computer Use ◽  
Uses And Gratifications ◽  
New Technologies ◽  
The Elderly ◽  
Redes Sociales ◽  
Research Focus ◽  
Interpersonal Contact ◽  
Nuevas Tecnologías

Drawing on in-depth interviews conducted with residents at an old-aged home in Cape Town, South Africa, this study examines the main uses and gratifications elderly people get from computers. While the research focus in Africa has been on the health of elderly people, particularly with respect to HIV/AIDS, there is little research into their adoption of new technologies, as the research focus with respect to that topic has been primarily on youth. This study found that the participants use email and social media to maintain contact with family and friends outside of, and sometimes even within the neighborhood. Furthermore, keeping in contact involved not only communication, but also observation of activities - like news, photographs and discussions. Using a uses and gratifications framework, this study found that participants felt connected with society both through their communication with and observation of people, and through keeping themselves informed about news and current interest topics. By using the Internet the elderly people communicated with more people than they had before. Some of the participants felt less isolated and lonely because of their computer use. Nevertheless, use of computers did not weaken their interpersonal contact outside of computer use. A partir de entrevistas en profundidad, realizadas en un hogar de la tercera edad en Ciudad del Cabo (Sudáfrica), este estudio analiza los principales usos y gratificaciones que reciben las personas mayores en interacción con los ordenadores. En África, mientras el énfasis investigador se ha puesto en los últimos años en la salud de los mayores, especialmente en cuanto al SIDA, existe muy poca investigación sobre el uso de los mayores en cuanto a nuevas tecnologías, ya que la investigación en relación con las mismas se ha centrado principalmente en la juventud. En este estudio se halló que los participantes utilizan el correo electrónico y las redes sociales para mantener el contacto con familiares y amigos y a veces incluso con su vecindario. Además, mantener el contacto suponía no solo comunicación, sino también observación de actividades, como noticias, fotografías y conversaciones. En el contexto de los usos y gratificaciones, el trabajo ha evidenciado que los participantes se sentían conectados con la sociedad, tanto por su comunicación como por la observación de las personas, y por mantenerse informados de las noticias y los temas de interés actuales. Mediante el uso de Internet, las personas de edad avanzada se comunicaban mucho más de lo que antes se habían comunicado con otras personas. Algunos de los participantes se sentían menos aislados y solos, debido a su uso del ordenador. Sin embargo, se demostró también que el uso de los ordenadores no obstaculizó los contactos interpersonales tradicionales.

Reviewing Home Based Assistive Technologies

2015 ◽  
pp. 317-334 ◽  
Author(s):  
Panagiotis D. Bamidis ◽  
Evdokimos Konstantinidis ◽  
Antonis S. Billis ◽  
Anastasios Sioundas
Keyword(s):  
Case Studies ◽  
Elderly People ◽  
Assisted Living ◽  
New Technologies ◽  
Ambient Assisted Living ◽  
The Elderly ◽  
Population Ageing ◽  
Assistive Technologies ◽  
European Level ◽  
Home Based

Population ageing is an unprecedented challenge for human societies, which recently is globally tackled by new technologies. In this chapter technologies tailored for use by the elderly people termed ambient assisted living and e-health are discussed. Focus is only placed on those technologies that can be adapted for home use. Emphasis is drawn both on the technical front as well as on the application front based on recent literature. The scope is to make sure the audience reaches a sufficiently broad understanding of what technology is available for home use by elderly people. Applications and research efforts spent but also funded at the European level with a clear focus on those supported by elderly trials are provided. The chapter is enriched with case studies from various projects.

Arthroscopic Challenges in Treating Rotator Cuff Tears of the Shoulder

2009 ◽  
Author(s):  
Maxwell C. Park
Keyword(s):  
Rotator Cuff ◽  
New Technologies ◽  
Rotator Cuff Tears ◽  
Full Thickness ◽  
Healing Environment ◽  
Partial Thickness ◽  
Partial Tears ◽  
Progression Of Disease ◽  
Structural Loss ◽  
Invasive Techniques

Rotator cuff tears can be the source of significant morbidity. Impingement syndrome involving repetitive and prolonged mechanical irritation of the rotator cuff against the roof of the shoulder creates a progression of disease. Chronic tendon inflammation can lead to structural loss of integrity, leading to partial tears, and if left unchecked, full-thickness tears. Currently, the surgeon has the ability to repair full-thickness tears using minimally invasive techniques. However, the persistent tear rate after repair is remarkably high, more than 50% in some studies. One surgical goal is to alter progression of disease, and repair partial-thickness tears, for example. Another goal is to optimize the healing environment with the repair construct itself, accounting for biomechanical considerations. When using an arthroscopic approach, the challenges for treating partial- versus full-thickness tears varies significantly given anatomic restrictions—particularly, during repair of partial-thickness tears, the surgeon is “blind” for portions of the procedure as the arthroscope is typically placed intra-articularly, while instruments are passed from above the tendon, extra-articularly. Ideally, new technologies can be developed to optimize rotator cuff repair and healing in this setting.

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